Individual
JOHN A SELLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
340 WILLOWBROOK DR, PORTOLA VALLEY, CA 94028-7842
(650) 743-0932
Mailing address
340 WILLOWBROOK DR, PORTOLA VALLEY, CA 94028-7842
(650) 743-0932
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
G046375
CA
207RG0100X
Gastroenterology Physician
Primary
G46375
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MMM00087M
NHIC
—
Enumeration date
04/12/2006
Last updated
01/21/2020
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